NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is preparing to administer an anticholinergic medication to a client with irritable bowel syndrome. Which of the following findings would require follow-up prior to administering the medication?
Correct Answer: A
Rationale: Anticholinergics can worsen urinary retention, so 650 mL post-void residual (
A) requires follow-up. Macular degeneration (
B), loose stools (
C), and fatigue (
D) are not contraindications.
Question 2 of 5
The practical nurse (PN) is assisting with a client who is undergoing labor induction with misoprostol. The PN notes late decelerations and minimal variability on the fetal heart rate monitor. After notifying the registered nurse, what should the PN do first?
Correct Answer: D
Rationale: Repositioning to a side-lying position (
D) improves placental perfusion, addressing late decelerations. Oxygen (
A) may follow, but repositioning is first. Perineal exam (
B) and palpation (
C) are less urgent.
Question 3 of 5
The nurse is caring for a client with increased intracranial pressure (ICP). Which statement by the unlicensed assistive personnel would require immediate intervention by the nurse?
Correct Answer: A
Rationale: Raising the head of the bed (
A) without medical guidance can alter ICP dangerously. Dimming lights (
B), moving belongings (
C), and breathing exercises (
D) are generally safe or neutral.
Question 4 of 5
A woman who had a tuberculosis test three days ago reports to the nurse to have the test read. Which finding, if present, indicates a positive result and a need for referral and follow-up?
Correct Answer: B
Rationale: A raised (indurated) area >10 mm indicates a positive TB skin test, requiring follow-up for potential latent or active TB.
Question 5 of 5
The nurse is caring for a client who has a hip fracture and is placed in Buck traction. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Monitoring for skin breakdown (
B), neurovascular checks (
C), neutral positioning (
D), and pain relief (E) are essential for Buck traction. Placing the client on the affected side (
A) is incorrect as it may disrupt traction.